Provider Demographics
NPI:1174771935
Name:RICHMAN, DEBBIE (LPN)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20050 W. INDIAN SCHOOL ROAD
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7201
Mailing Address - Country:US
Mailing Address - Phone:623-932-7400
Mailing Address - Fax:623-932-7400
Practice Address - Street 1:20050 W INDIAN SCHOOL RD
Practice Address - Street 2:HEALTH OFFICE
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7201
Practice Address - Country:US
Practice Address - Phone:623-932-7400
Practice Address - Fax:623-932-7404
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03500164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse